MultiPlan Health Insurance For Addiction Treatment

Discover MultiPlan’s addiction treatment coverage options. Verify your benefits and get the support you need for recovery today.

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MultiPlan Health Insurance For Addiction Treatment

Discover MultiPlan’s addiction treatment coverage options. Verify your benefits and get the support you need for recovery today.

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Addiction Centers That Accept MultiPlan

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    Asana Recovery: Drug & Alcohol Rehab In California

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    Costa Mesa, CA
    4.7
    (116 reviews)
    Check iconClaimed
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    Asana Recovery: Drug & Alcohol Rehab In California has no reviews yet. Leave a review.
    13
    13
    1
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.90 / 10
    5.0
    (17 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. As one of leading inpatient re
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
    George B.
    8 months ago
    Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
    John E Williams
    8 months ago
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    8 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    2
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.78 / 10
    4.9
    (352 reviews)
    Recovery Unplugged Nashville Drug & Alcohol Rehab is a private luxury addiction treatment center located just south of Nashville, in Brentwood, Tennessee. They offer several levels of care, including medication assisted treatment (MAT), residential treatment and behavioral telehealth. Adults with dual diagnoses and substance use disorders are welco
    Caring staff!
    Cindy Delaney
    1 month ago
    RU is an awesome facility with a caring team of therapists, administrators, techs, etc. Everyone truly cares about the well-being of each person that comes through the doors. The great thing is the caring doesn't stop once you leave, they continue to check on you and your progress. So thankful for such a wonderful facility.
    Lisa Patterson
    1 month ago
    The staff (Sydney) truly cares about the people they help and treats everyone with kindness, respect, and encouragement. The facility was welcoming, clean, and supportive, and the team goes above and beyond to make a difficult process easier. I would highly recommend Recovery Unplugged to anyone looking for help and a positive environment for recovery.
    DeeAnna Dillon
    1 month ago
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 2
    5
    5
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 1 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 3 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 4 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 5
    3
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.74 / 10
    4.8
    (448 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha
    Is an place to get help highly beneficial and recommend
    wendy waranka
    2 days ago
    My experience here was amazing I loved it. Recommend for anyone who has a drug habit or alcohol problem!!
    Sara Reuer
    1 week ago
    This was a very good place everyone is very nice and respectful the therapist ms. Karen is top tier she gets it done to the max her and the counselor ms.Kelly are a dynamic duo they helped me out tremendously.
    Johntae Joyner
    2 weeks ago
    4

    California Behavioral Health

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    Cathedral City, CA
    4.8
    (100 reviews)
    Found in Cathedral City Cathedral, California, California Behavioral Health is a private rehabilitation center that provides addiction and dual diagnosis treatment for adults. This treatment takes a holistic approach to addressing addiction and ensures a well-rounded recovery journey through its inpatient program, intensive outpatient program, part
    View Website (760) 614-9800
    California Behavioral Health has no reviews yet. Leave a review.
    17
    17
    Centennial, CO
    4.9
    (176 reviews)
    Footprints To Recovery – Colorado is a drug and alcohol rehab located in Centennial, Colorado. They provide outpatient addiction treatment. Addiction-related services provided at Footprints to Recovery include an intensive outpatient program, a partial hospitalization program, and a basic outpatient addiction treatment program. Partial Hospitali
    The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
    Collin Cook
    2 months ago
    Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points. Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own. The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist. Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment. Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients. If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
    Hailee Burdette
    3 months ago
    Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
    Dylan Reeves
    3 months ago
    The facilities at Footprints To Recovery - Colorado in Centennial, CO 1
    4
    The facilities at Footprints To Recovery - Colorado in Centennial, CO 2 The facilities at Footprints To Recovery - Colorado in Centennial, CO 3 The facilities at Footprints To Recovery - Colorado in Centennial, CO 4
    Moorpark, CA
    4.8
    (40 reviews)
    Enlight Treatment Center is a dual-diagnosis behavioral health and addiction treatment center in Moorpark, California. Focusing on the treatment of adults, they provide counseling, detox, residential drug and alcohol rehab, and aftercare. Mental Health Assessment and Counseling These assessments evaluate the client’s mental health for the presen
    I really loved going to this facility. They taught me a lot and helped me grow so much. Had me coming out of my turtle shell fairly quickly. Great staff love them all. Thank you to everyone there .
    Brittany Fuller
    1 month ago
    It was my first time going into treatment and I was scared to fly to California. I'm happy I made the decision to trust Enlight with my safety and wellbeing. These people really know how to change lives, speaking from experience. I was battling with alcohol, drugs and mental health issues that I was never able to address. I was scared that my job was going to penalize me but the team worked well with my employer so that I can really take my time and focus on my recovery. This was the best decision I have ever made. I feel changed, finally ready to live the life I deserve. Thank you to Enlight and the doctors here for saving my life. This was the best decision I have ever made
    Scotty Dog
    1 month ago
    As I sit here, dead of winter in Upstate New York. I appreciate the time I spent at Enlight Treatment center. This is usually the time I would look for something to lift my mood. Depression gets the best of me and I spiral. I was able to really open up there. I was able to unload and place a lot of my unresolved feelings aside. They really have wonderful people there. If you're serious about getting rid of whatever it is you need to get rid of.. I would absolutely go! The food wasn't too bad either😘
    Denise kassler
    4 months ago
    The facilities at Enlight Treatment Center in Moorpark, CA 5
    5
    5
    The facilities at Enlight Treatment Center in Moorpark, CA 1 The facilities at Enlight Treatment Center in Moorpark, CA 2 The facilities at Enlight Treatment Center in Moorpark, CA 3 The facilities at Enlight Treatment Center in Moorpark, CA 4
    6
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.70 / 10
    4.8
    (21 reviews)
    This facility offers leading outpatient addiction treatment, recovery coaching, and medication-assisted treatment for adults. Through an intensive outpatient program or an outpatient program, participants engage in individual and group therapy that helps get to the root of addiction and relapse prevention skills. Outpatient support groups allow you
    Going to Mountainside in Huntington was a life changing experience. I could not recommend it more!
    Violet White
    10 months ago
    As a clinical social worker running a local group practice, I regularly collaborate and refer clients to Mountainside Treatment Center. Their staff has always been exceptional, especially Courtney Hulse and Dan Sexton, who go above and beyond in tailoring their treatment plans for each client and family. Mountainside serves as a tremendous resource, providing quality substance abuse treatment that is critically needed here on Long Island. We are enthusiastic about continuing to work with Mountainside to best serve our community and families. Thank you for all you do Mountainside. Highly recommend!
    Gordon Gooding
    1 year ago
    My experience with Mountainside has been nothing but positive. Jessica Leone has been key in my recovery. She consistently has a positive attitude, provides great insights and experiences. Jessica listens well and challenges me. She is open whenever needed and feels like one of my biggest supporters. I appreciate all that she does.
    Heather Stratford
    2 years ago
    Mountainside Treatment Center - Huntington NY 11743
    4
    The facilities at Mountainside Treatment Center - Huntington in Huntington, NY 1 The facilities at Mountainside Treatment Center - Huntington in Huntington, NY 2 The facilities at Mountainside Treatment Center - Huntington in Huntington, NY 3

    Banyan Heartland

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    Gilman, IL
    4.2
    (175 reviews)
    Check iconClaimed
    Banyan Treatment Centers Gilman is a private drug rehab center specializing in treating drug and alcohol abuse in Watseka, Illinois. This addiction treatment center provides individuals with fully customized and uniquely comprehensive levels of care to help with recovery. Banyan Heartland is a Joint Commission-accredited residential treatment cen
    View Website (779) 244-6557
    Banyan Heartland has no reviews yet. Leave a review.
    9
    9
    The facilities at Banyan Treatment Centers Gilman in Watseka, IL 1 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 3 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 4 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 5
    7
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.69 / 10
    4.8
    (72 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. One of the best outpatient rehab centers in Texas, Symetria offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outp
    Symetria is a great place and it can really help you get better.
    Trevor Stewart
    3 weeks ago
    Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
    Vernon Godsey III
    3 weeks ago
    ALL OF THE STAFF IS AMAIZINGGGGG!!!! Even during emergency I didn’t get my dose because of bad weather Deborah was calling me and calling me(I didn’t answer)😭but then she made SURE I got it by letting me dose at the hospital she was a lifesaver and that’s just what u can expect from this location they really take care of u like your family!!
    xavier vazquez
    4 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4
    8
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.68 / 10
    5.0
    (107 reviews)
    Design for Change is a drug rehab facility located in Lancaster, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use, chemical dependencies, and co-occurring mental and behavioral health disorders. Design for Change provides detox, medicated-assisted treatment (MAT), residential inpatient treatment,
    I cannot thank DFC enough for my recovery experience. I've been to rehab before and nothing compares to the tools and recovery that Joseph and the entire staff at DFC was able to offer me. I feel confident moving forward that there will be much light in my life ahead. If you are seeking help, I strongly recommend Design For Change. Thank you for everything.
    Jennifer Webster
    1 month ago
    The staff was amazing. Tamara was especially awesome Joe the owner is absolutely wonderful. I had a wonderful experience and I’m on my way to recovery.
    Charles Stevens
    3 months ago
    Design for change has a good counselor support system. They do the 12 steps daily and show a good insight about addiction and how to recover. This is my third time at treatment but first time here and believe I may have found the last piece that Will set me free. I appreciate the time that was spent to better my life
    Daniel Jennings
    4 months ago
    Design for Change CA 93535
    6
    6
    The facilities at Design for Change in Lancaster, CA 1 The facilities at Design for Change in Lancaster, CA 2 The facilities at Design for Change in Lancaster, CA 3 The facilities at Design for Change in Lancaster, CA 4
    San Diego, CA
    4.9
    (48 reviews)
    Sober Life Recovery Solutions, located in San Diego, California, is an alcohol and drug rehab center that provides alcohol and drug rehab services to teens and adults through their partial hospitalization program, intensive outpatient program, and traditional outpatient program. They also support Veterans. The partial hospitalization program meet
    Look no further! SoberLife/Healthy-U provides an amazing mix of treatment modalities administered a variety professionals with a remarkable range of experiences to assist you in getting to the place you want and deserve.
    Atown Smith
    6 months ago
    I have struggled with alcohol abuse for the last three years and this was the ONE place out of 23 treatment centers that finally worked. Nobody ever thought they would see me sober, but today I can say I am, thanks to Sober Life. I was a frequent relapser, just barely making it by, and when I decided to seek treatment through Sober Life a whole new world opened for me. The team at Sober Life cares. I felt valued, I felt empowered, understood and heard. After being in and out of so many treatment centers I found myself fatigued, but through my process with Sober Life I actually wanted to continue my program as long as I could. I WANTED to be there and I've learned a life I never knew possible thanks to the team there. I can say that this program likely saved my life, and showed me a new life that I could never have imagined. The support and understanding was beyond belief. I felt so safe there. I've made friendships with a lot of my peers from groups as well. Which I never wanted to do before. Recovery can be difficult to begin, scary to start, but Sober Life feels SAFE. I'm not the type to write reviews, but I know how hard I struggled and for anyone reading this or questioning a start, I highly recommend this team. I am eternally grateful for my experience there.
    Jennifer Segura
    11 months ago
    Sober life has been one of the best experiences in my life! I came in not really sure what I wanted out of treatment and scared to really connect with people and have them see me in my weaker moments. All of the staff at sober life loved me through these issues and helped me get to a place where I felt safe and comfortable enough to communicate what was really going on with me, and gave me the tools I needed to be able to deal with things as they came up on a daily basis. Anytime I was a little off or lost any amount of momentum, they noticed immediately and did whatever they could to make sure I continued my progress and that even though addiction is a lonely disease, it became a lot easier to believe I wasnt alone and recovery is possible. It wasn't complicated at all, they handle the insurance stuff for you so you can focus and prioritize your recovery over anything else. Kimberly, Dan, Ashley, and Kelley have all been huge grounding stones in my recovery, showing up every time and helping me make solutions out of chaos. Having all of these amazing, kind, and extremely dependable people in my life has kept me steady and also taught me what having people around who genuinely love you, want the best for you, and who celebrate your achievements and help you through your downfalls looks like. Like any recovery program, you have to want it and put in your own effort, but they make the weight just lighter enough that it seems much more attainable.
    Reyghan
    11 months ago
    The facilities at Sober Life Recovery Solutions in San Diego, CA 2
    2
    The facilities at Sober Life Recovery Solutions in San Diego, CA 1

    Able2Change Orange County Drug & Alcohol Rehab

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    San Juan Capistrano, CA
    4.4
    (53 reviews)
    Able to Change Recovery is in San Juan Capistrano, California. It’s a drug and alcohol rehab center for adults and young adults. The program offers residential care, partial hospitalization, intensive outpatient, and aftercare programs. Residential care is a minimum of 28 days. You’ll have 24-hour supervision, assessments, individual and
    View Website (866) 225-3260
    Able2Change Orange County Drug & Alcohol Rehab has no reviews yet. Leave a review.
    Able to Change Recovery - Rancho Viejo Road CA 92675
    10
    Top 10 in MultiPlan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.64 / 10
    4.7
    (411 reviews)
    Check iconClaimed
    The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one
    Nice place, spent 3 weeks. Staff was helpful, polite etc. Focus on your detox and you will have a solid decent experience.
    William Spencer
    6 days ago
    Highly recommend - this was my first time going to a rehab and it was extremely daunting, but the staff are absolutely fantastic. Everyone makes you feel extremely welcome and are there for you 24/7. My experience has been life changing and the help provided was above and beyond what I could’ve ever expected. It will be sad leaving as it’s amazing meeting people that genuinely care and want to make a difference but I’m now excited for my next steps based on what the Haven have done for me!
    Jack Wagstaff
    1 week ago
    This has been one of the greatest places I’ve ever been!! I’m so grateful to have been able to have the opportunity to be in this program. This place genuinely saved my life. They made sure through the whole detox that I was comfortable and they made sure to give the proper medication to make the process painless and easy. The staff goes above and beyond with all things. They are all so caring and they genuinely listen to you. If you’re on the edge about coming let this be what brings you in. This is an amazing place!! If your ready to change your life, this is the place that’ll do that and help you on your journey to sobriety.
    Connor Willis
    1 week ago
    22
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    Frequently Asked Questions

    Does MultiPlan Cover Addiction Treatment?

    The PHCS provider network includes over a million healthcare providers across the country, and some of them provide substance use and mental health treatment. However, it’s not MultiPlan’s decision what care is covered — the insurance company or self funded employer determines that.

    If the insurance plan that uses the PHCS network falls under the Affordable Care Act, then it will have to cover 10 essential health benefits which include mental health and addiction treatment. However self funded insurance plans aren’t subject to the ACA so they may or may not cover rehab.

    That’s why it’s so important to verify your insurance details before you commit to treatment. You may also need a referral or preauthorization for coverage for example. When you check in advance you can avoid any surprises while you’re trying to focus on recovery.

    What Inpatient Addiction Treatment Does MultiPlan Cover?

    MultiPlan has developed a network of providers and treatment facilities that insurance companies utilize to provide their members with quality care. However they don’t determine the actual amount of coverage you have.

    Your insurance provider focuses on offering medically necessary care, including treatment for addiction and mental health conditions. This is why it is crucial to have a treatment plan from your primary care physician. This plan helps support the medical necessity of inpatient addiction treatment.

    The American Society of Addiction Medicine (ASAM) provides a multidimensional assessment tool so your clinician can assess the severity of substance use disorders and co occurring mental health conditions. The assessment criteria help inform your placement and treatment and will indicate when residential care is more appropriate. These criteria can include the severity of your addiction and any co occurring mental health disorders as well as an unstable living environment and safety concerns.

    Your addiction treatment may start with medical detoxification. A medical detox program uses approved prescription medications to reduce withdrawal symptoms. During the program you are monitored 24/7 to reduce the potential life threatening side effects of withdrawal from certain drugs.

    After addictive substances have been detoxed from your body you may transition to an evidence based inpatient treatment program. These programs use therapeutic approaches like cognitive behavioral therapy and dialectical behavior therapy as well as motivational interviewing. The combination approach of medical detoxification and residential care supports your recovery journey by providing you with a highly structured environment that is far away from drug and alcohol addiction triggers.

    What Outpatient Rehab Does MultiPlan Cover?

    After a comprehensive evaluation, potentially including the ASAM, your customized treatment program may begin with inpatient services or outpatient care. Several levels of outpatient care may be part of your tailored treatment plan.

    Before enrolling in an outpatient treatment program you must check with your insurance plan to determine your coverage benefits and limitations. Multiplan offers the network of providers but they do not make coverage decisions.

    The first level of outpatient care is a Partial Hospitalization Program (PHP) which offers a highly structured and intensive outpatient treatment. The program is often very similar to what you would receive as an inpatient but you return home in the evening. This treatment program is ideal for you when you have a stable home environment.

    After a PHP you may graduate to an Intensive Outpatient Program (IOP). These programs provide evidence based therapy using a more flexible schedule. You may receive care for several hours a day over several days each week. Some treatment centers with IOPs allow you to choose sessions in the morning or afternoon or evening, which allows you to meet your work and school obligations.

    A general outpatient treatment program has greater flexibility and usually includes treatment once or twice a week.

    After completing your outpatient addiction treatment you may transition into an aftercare program. These programs support your long term sobriety and sustainable recovery.

    Does MultiPlan Cover Methadone & Suboxone (MAT)?

    Medication assisted treatment (MAT) is available for opioid and alcohol addiction programs. MAT can be used for medical detoxification to help reduce withdrawal symptoms and lessen the risk of life threatening complications. It can also be used for ongoing treatment to help reduce cravings and reduce the risk of relapse.

    FDA approved prescription drugs such as methadone and buprenorphine along with naltrexone and suboxone are commonly prescribed in a MAT treatment program. Methadone and buprenorphine are usually used only for opioid treatment programs and Naltrexone can be used for alcohol and opioid use disorders. Suboxone is a combination of buprenorphine and Naltrexone that helps reduce cravings and reduce the risk of an overdose.

    Does MultiPlan Cover Other Mental Healthcare?

    MultiPlan’s network of healthcare professionals includes mental health providers. However your insurance plan makes coverage decisions about treatment, including the type of therapy and duration of care they will cover.

    Mental health conditions can occur independently or as co occurring disorders alongside a substance use disorder. In either case, mental health care is essential to help stabilize you and ensure you have access to crisis support and therapy.

    When a mental health condition is a co occurring disorder your treatment must be integrated to treat both conditions for a successful long term recovery. Your treatment program must include therapists with experience treating co occurring conditions which is also called a dual diagnosis.

    Most plans offer mental health coverage as they are regulated by the Affordable Care Act. However, there are exceptions and self funded insurance plans are one exception. It is crucial you verify your insurance coverage before enrolling in treatment so you don’t receive a surprise bill.

    How Long Will MultiPlan Cover Rehab?

    Your insurance provider makes decisions about your coverage benefits and limitations. They also decide about the requirements that must be met before they pay for treatment. For example, your insurance plan may require prior authorization before treatment. Documentation may include an ASAM assessment and a treatment plan from your physician along with a medical examination or other information.

    Your treatment center can usually help you gather the necessary information to submit prior authorization. Your insurance company will also look at certain criteria to determine how long you may receive addiction treatment. These criteria are based on medical necessity.

    Your insurance provider will likely work with the treatment center and base decisions on your progress in care. Your length of stay in an inpatient or outpatient program will depend on the severity of your addiction and how well you respond to treatment. Most treatment centers offer 30 or 60 or 90 day programs.

    Does Addiction Treatment Need to Be In Network?

    MultiPlan’s primary network of providers is a preferred provider organization (PPO). Generally your insurance plan will offer some coverage for out of network providers. However, these are usually at a higher cost. For example receiving out of network treatment will likely have higher deductibles and copayments.

    You can maximize your insurance coverage and receive more evidence based therapy — whether inpatient or outpatient — when you use an in network provider. The best way to accomplish this is to review your plan with your insurance company or to discuss your payment options with the treatment center. Most treatment centers will verify your insurance coverage before treatment begins and will know if they are in network or out of network with your insurance plan.

    How to Verify Coverage With MultiPlan

    Before receiving treatment it’s very important to verify your insurance coverage with your insurance provider. MultiPlan may be able to help you identify your particular plan but they may not know the requirements and benefits or limitations of your coverage.

    Most insurance providers have customer service phone numbers and online platforms where you can check your insurance coverage. However sometimes the easiest way is to work with your treatment center. They are often adept at verifying insurance coverage and identifying the necessary requirements before admission.

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